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Navy and Marine Corps 

Medical News 

A Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery 

October 2012 

MEDNEWS Items of Interest 

October marks Domestic Violence 
Awareness Month for more information, 
about the services that are available at the 
Fleet and Family Support Center, visit 

October marks National Breast Cancer 
Awareness Month for more information, 
go to or make an ap- 
pointment with your health care profes- 
sional for a screening. 

Remember to vote!! For Federal Voting 
Assistance Program information go to: 

Navy Weeks 2012 - Navy Medicine will be 
participating in Houston Navy Week (Oct. 

Find us on Facebook. U.S. Navy Bureau of 
Medicine and Surgery, follow us on Twit- 
ter @ NavyMedicine, read our publica- 
tions on Issuu, check out our photos on 
Flickr, watch our videos on YouTube and 
read our blog on Navy Live. 

Did You Know? 

In fiscal year 201 1 Naval 
Medical Center San 
Diego's Comprehensive 
Combat and Complex 
Casualty Care facility fitted 
patients with 418 devices 
to include feet, ankles, legs, 
hands and arms. In the 
first three quarters of 2012 
C5 has fitted patients with 
470 devices. 

NMETC headquarters officially opens 

From Navy Medicine Education and 
Training Command Public Affairs 

Medicine Education and Training 
(NMETC) officially opened its new head- 
quarters location during a ribbon -cutting 
ceremony at Fort Sam Houston Sept. 28. 

NMETC, the Bureau of Medicine and 
Surgery's (BUMED) point of account- 
ability for all Navy Medicine training, 
relocated to Fort Sam Houston after a 
July change of command ceremony at the 
establishment's former headquarters at 
Naval Air Station Jacksonville, Fla. 

The ribbon cutting ceremony, which 
featured remarks from guest speaker 
Navy Deputy Surgeon General Rear 
Adm. Michael H. Mittelman, celebrated 
a milestone in Navy Medicine, some- 
thing Mittelman said can only ensure 
the unparalleled training and education 
U.S. Navy medical professionals receive 
will continue. 

"We have the best-trained hospital 


corpsmen, nurses, doctors, allied health 
and other medical professionals in the 
world," he said. "This is a direct result of 
the very talented people who comprise 
Navy Medicine - those who manage and 
provide the training from our numer- 
ous training facilities located across the 
country and around the world. Locating 
our education and training headquarters 
alongside the Army and Air Force head- 
quarters builds on their great expertise 
and traditions and can only serve to 
further our Naval and joint mission - to 
ensure the men and women we train con- 
tinue to save lives all over the world." 
NMETC, focused on the education 
and training mission of preparing per- 
sonnel to perform in the garrison and op- 
erational environments, is headquartered 
at Fort Sam Houston with detachments 
in Jacksonville and Bethesda, Md. The 
relocation stems from the Navy Surgeon 
General's vision of streamlining Navy 

See NMETC, Page 3 

Photo by L.A. Shivcty 

Navy Deputy Surgeon General Rear Adm. Michael H. Mittelman, center left, and 
Capt. Gail Hathaway, center right, commander Navy Medicine Education and Train- 
ing Command, cut the ribbon during NMETC's headquarters opening and ribbon- 
cutting ceremony at Joint Base San Antonio- Fort Sam Houston Sept. 28. 

Surgeon General's Corner 

Navy Medicine highliglits 
its strategic priorities 

This month, I would Hke to focus on 
Navy Medicine's strategic priorities 
and highHght the release of our strategic 
map and the course our Navy Medicine 
leaders have collectively charted for the 
upcoming year. 

We live in dynamic times. In order to 
navigate the upcoming tasks and chal- 
lenges ahead, we must continue to main- 
tain the highest state of medical readiness 
for our naval forces, while bringing more 
value and jointness to our operations. 
So, it should not come as a surprise that 
we have focused our three goals around 
these missions. 

So, let's discuss why these goals are 
important to us and should be important 
to each of you as members of the Navy 
Medicine team. 

Navy Medicine is in the readiness busi- 

in a submarine, a flight surgeon serving 
our naval aviators, deployed medical staff 
or a Navy corpsman embedded with the 
Marines, you provide adaptable capabili- 
ties globally across the range of military 
operations in support of the national 
defense strategy. 

We next aim to achieve value in every- 
thing we do. When we transition from 
focusing on health care and start focus- 
ing on the overall health of our patients, 
meaning focusing on preventive medicine 
treatments like tobacco cessation pro- 
grams or health and nutrition vice solely 
treating symptoms, we not only improve 
their readiness and quality of Hfe, but also 
get more so-called "bang for our buck" 
because healthier beneficiaries drive 
down overall costs associated with care. 
I am sure many of you have noticed the 

ness. We have to //», .. ■■ ■ ■ ■ -i 

be agile, forward Navy Medicme IS in the 
leaning and ready readinGss business." 

to deploy m sup- 
port of the warf- -Vice Adm. Matthew Nathan 
ighter and similarly we U.S. Navy Surgeon General less wait time, 
have to work to ensure more access, and 

in the care you 
receive from your 
Medical Home 
Port team, with 

that our warfighters are equally prepared. 
Each of you, in some capacity, lends 
yourself to the readiness mission. It's what 
we do and why we exist. Whether you are 
an independent duty corpsman serving 

Navy and Marine Corps 

Medical News 

U.S. Navy Bureau of Medicine and Surgery 

IjCi ce Adm. Matthew L. Nathan 

U.S. Navy Surgeon General 

Capt. Dora Lockwood 

Public Affairs Officer | 

Shoni PiUp-Florea 

Deputy Public Affairs Officer 

Valerie A. Kremer I 

lEDNEWS Managing Editor 

U.S. Navy Bureau of Medicine and Surgery 
^700 Arlington Blvd. Ste. 5122 

i^alls Church, Va. 22042-5122 
1 Public Affairs Office 

greater communication with your health 
care providers. Over the next year, we 
are looking to build on these initial suc- 
cesses and improve the standardization 
of care that will improve patient experi- 
ence and create a more efficient, respon- 
sive care structure. 

The third goal I want to discuss with 
you is jointness. There are increasingly 
more and more opportunities to work 
together with our sister Services, the 
Veterans Administration, and academic 
partners. Whether we are working to- 
gether in a research lab to develop a new 
vaccine or on a mission to MEDEVAC a 
patient off the battlefield, joint operations 
are undoubtedly a huge part of our future 
in the military and we all need to em- 
brace these opportunities to learn from 
one another and leverage best practices 
from every source. We will build on each 
other's strengths, learn other cultures, 
and also preserve those qualities, tradi- 
tions, and skill sets that are uniquely 
Navy Medicine. 

The Medical Education and Training 
Campus (METC) in San Antonio, Texas, 

Vice Adm. Matthew L. Nathan 
U.S. Navy Surgeon General 

is a prime example of the kind of joint en- 
vironment where Navy Medicine's goals 
of readiness, value, and jointness are ex- 
emplified. In my visit to the joint medical 
facility, I was impressed by the great work 
that is done there. The program ensures 
through education and training that our 
service members are ready to deploy and 
accomplish the mission of Navy Medi- 
cine. The value that the training brings to 
the overall health of the service member 
and their families is unmatched. Addi- 
tionally, it is through a joint curriculum 
at METC that we create value by reduc- 
ing redundancies in training costs while 
still teaching our corpsmen and medics 
the life-saving skills in a collaborative 
environment that has led to a 97 percent 
survivability rate on the battlefield. This is 
truly remarkable. 

As we set out on this next year, with a 
new charted course, we will need enablers 
to help keep us on our set path. We look 
to medical informatics, the use of tele- 
medicine solutions, and technology; as 
well as standardizing clinical, non-clinical 
and business practices; and improving 
strategic communication and message 
alignment to accomplish these goals. I 
have the utmost faith that through your 
hard work, dedication, and collaboration, 
we can achieve these goals. 

As always, I am honored and proud to 
serve as your Surgeon General. 

Navy Medicine's complete mission and 
vision including the strategy map and 
accompanying documents is available on- 
line at: 
MissionandVision.aspx . 

Navy Surgeon General highlights HA/DR 
capahilities at San Francisco Fleet Week 

By Capt. Dora Lockwood, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

SAN FRANCISCO - The Navy's Surgeon 
General highlighted the critical role Navy 
Medicine plays in humanitarian assis- 
tance and disaster response during the 
San Francisco Fleet Week Senior Leaders 
Seminar, Oct. 4. 

Vice Adm. Matthew L. Nathan, U.S. 
Navy surgeon general and chief. Bu- 
reau of Medicine and Surgery delivered 
keynote remarks during the SLS where he 
emphasized the role Navy Medicine plays 
in preparing for and responding to HA/ 
DR efforts and the capabilities the naval 
services bring to the fight. 

Nathan described his responsibility to 
enable the Chief of Naval Operations and 
the Commandant of the Marine Corps to 
execute their missions by maintaining the 
highest state of medical readiness for our 
naval forces. 

"I am in the readiness business," said 
Nathan. "My job is to be ready when 
America calls upon our maritime forces." 

Mr. Lewis Loeven, executive director 
of the San Francisco Fleet Week Associa- 
tion kicked off the seminar by welcoming 
the men and women of the Navy, Marine 
Corps, and Coast Guard to San Francisco. 

Photo by Mass Communication Specialist 1st Class Andrew Wiskow 

Vice Adm. Matthew Nathan, U.S. Navy surgeon general and chief, U.S. Navy 
Bureau of iviedicine and Surgery, meets with medical department Sailors on the 
amphibious assault ship USS Makin Island (LHD 8) during San Francisco Fleet 
Week (SFFW). SFFW 2012 is scheduled from Oct. 3-8 and brings more than 2,500 
Sailors, Marines and Coast Guardsmen from four ships to the city of San Francisco 
in order to highlight the personnel, technology and capabilities of the sea services. 

In addition to events designed to show 
appreciation for our Sailors and Marines, 
he said Fleet Week offers an opportunity 
to learn about the humanitarian assis- 

tance and disaster response capabilities of 
the naval services. 

See Capabilities, Page 3 


From page 1 

Medicine into a more effective, efficient and responsive organi- 
zation that improves accountability, and command and control. 

The ceremony, hosted by NMETC commander, Capt. Gail L. 
Hathaway, also included a reception and facility tour, which fol- 
lowed the ribbon cutting. Hathaway said the NMETC mission 
remains steadfast in alignment with Navy Medicine objectives 
and Chief of Naval Operations directives. 

"Navy Medicine exists to save lives," she said. "Our prior- 
ity is to support the men and women deployed on the ground 
in combat and on ships, submarines and in the air. NMETC 
is ready to support this work by providing medical personnel 
education and training that supports readiness and is of value to 
the individual and the Navy." 

Initially, 12 military and civilian personnel will be assigned 
to NMETC's new headquarters location with approximately 65 
personnel remaining at the Jacksonville and Bethesda locations. 
The Navy Medicine Operational Training Center (NMOTC) in 
Pensacola, Fla., the Navy Medicine Professional Development 
Center (NMPDC) in Bethesda, Md., and the Navy Medicine 
Training Support Center (NMTSC) at Fort Sam Houston, Texas, 
are echelon four commands aligned to NMETC. 

NMOTC is the premier training facihty for operational medi- 
cine and aviation survival, and NMPDC provides post-graduate 
education programs, dental residency programs and leadership 
and professional development training to educate, train and 
support Navy Medicine personnel to optimize the health and 
readiness of the warfighter. NMTSC provide leadership, profes- 
sional development, operational and administrative support to 
assigned naval personnel and functional support to the Medical 
Education and Training Campus and other inter- service train- 
ing programs in the San Antonio, Texas area. 

The official opening of NMETC at Fort Sam Houston serves 
as a hallmark in Navy Medicine, occurring a year after Hospital 
Corps School - the largest Navy 'A School - relocated to Fort 
Sam Houston as part of the 2005 Base Realignment & Closure 
Commission order that consolidated and collocated enlisted 
medical education to Fort Sam Houston. 

NMETC is part of the Navy Medicine team, a global health 
care network of Navy medical personnel around the world who 
provide high-quality health care to more than one million eli- 
gible beneficiaries. Navy Medicine personnel deploy with Sailors 
and Marines worldwide, providing critical mission support 
aboard ship, in the air, under the sea and on the battlefield. 

October 2012-MEDNEWS • 3 

Navy 's top doc charts strategic course for Navy Medicine 

By Shoshona Pilip-Florea, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

Navy's top doctor released his strategy 
map for the future of Navy Medicine on 
his headquarters' website, Oct. L 

Readiness, value and jointness were 
the three clear priorities or goals laid 
out for Navy Medicine in the plan titled, 
"Navy Medicine: Charted Course." 

Vice Adm. Matthew L. Nathan, U.S. 
Navy surgeon general and chief. Bureau 
of Medicine and Surgery, chose the date 
for release to coincide with the new fis- 
cal year for the Department of Defense 
representing a new way of thinking and 
a new way of conducting business for 
the community he leads. Navy Medicine 
is the second largest community in the 
Navy with more than 63,000 personnel 
dispersed globally. 

"We live in dynamic times," said 
Nathan to the top military and civilian 
health care executives in the Navy, during 
a workshop aimed at fine-tuning his pri- 
orities last week. "We must concentrate 
on bringing more value and jointness 
while maintaining the high state of medi- 
cal readiness for our naval forces that our 
nation demands. When the world dials 
9-1-1, it is not to make an appointment." 

Each of the goals of value, readiness 
and jointness have measurements and 
metrics assigned to them to track their 
success which will continue to be as- 
sessed and evaluated over the next year. 
For example, one of the metrics that will 
be tracked for the value goal includes 
enroUee network costs and the ability 
of Navy medical treatment facilities to 
recapture out of network care. 

All three goals also have strategic 
enabling objectives included to help ac- 
complish them. 

According to the plan, "Strategic 
enablers help organizations achieve the 
success of a goal or objective. For exam- 
ple. Navy Medicine is a strategic enabler 
for the Department of the Navy because 
it delivers force health protection and a 
ready force able to meet mission." 

The plan maps out a course for achiev- 
ing the value, readiness and jointness 

Navy Medicine Strategy Map 

Military Leader: 

can call upon the Navy and Nlanr\& 
Corps at any moment and they will be 
m&dically ready lo deploy and optimally 

medically supported in action/' 


"My fdmily arrd I 

are in the best possible 

medical tiands wtiile on Active | 

Duty and when J retire." 

as. Public: 
Our intere&ts are being well pr^^ tec ted 

by our Navy and Marine Corps 

and resources are being appropriately 

utilized to that end." 


Strategic Enabling Obiectives 

Optim'^zeuse of medical informalics, technology and telemedicine 
Standardize clinical, non-cliniical, and business processes 

Improve strategic communications and alignment 


'ii'orCd'-(j£iiss Cart. . .jAnylime. Jinywfmf^ 

Courtesy graphic 

Vice Adm. Matthew Nathan, U.S. Navy Surgeon General, released his strategy map 
for the future of Navy ivjedicine on his headquarters' website, Oct. 1. 

goals through optimizing the use of 
medical informatics, technology and 
telemedicine, standardizing clinical, 
non-clinical and business processes, and 
improving strategic communication and 
message alignment across the enterprise. 

"Medical informatics and use of tele- 
medicine solutions will create efficiencies 
and improve responsiveness to the needs 
of [Navy Medicine's] stakeholders and 
customers. This in turn adds value and 
improves overall readiness," according to 
the plan. 

Nathan also used the plan to reiterate 
his guiding principles for all Navy Medi- 
cine which he conveyed to the enterprise 
in a video message earlier this year. 

"I want to talk about the philosophy 
I've had ever since I've been in com- 
mand and if you've worked for me before, 
you've heard it," said Nathan in his video 
message. "It's ship, shipmate, self- take 
care of the ship, take care of each other, 
take care of yourself." 

According to Nathan, the "ship" is the 
mission, whether it be caring for patients 
or creating a new vaccine or properly 

training and equipping our next group of 
corpsmen. He said "shipmate" represents 
his expectation that all Navy Medicine 
personnel be vigilant to the needs and 
actions of those they serve with, always 
preserving the ethos and professionalism 
that are the pinnacle of Navy Medicine. 
Finally, the "self" is important because 
Nathan believes Navy Medicine person- 
nel cannot care for others and meet the 
mission if they are not first caring for 

"Asking for help is a sign of strength," 
according to the guiding principles laid 
out in the Navy Medicine plan. "You 
must constantly reflect on your own 
needs and those of your family. Speak up 
so we can better equip you to meet the 
challenges you are facing." 

The plan also highlighted the impor- 
tance of self- reflection and awareness as a 
critical part of successful leadership. 

Navy Medicine's complete mission and 
vision including the strategy map and 
accompanying documents is available on- 
line at: 


View more Navy Medicine photos online at: 
www.flicl< photos/ navymedicine/ 

4 • MEDNEWS • October 2012 

Marines, Navy land on San Francisco's beach, showcase medical abilities 

By Sgt. Michael Cifuentes, 1st Marine 

SAN FRANCISCO —U.S. Marine and 
Navy forces displayed their capabilities 
of landing and setting up an expedition- 
ary medical aid station in San Francisco's 
Ocean Beach Oct. 3. 

Sailors serving with Assault Craft Unit 
5, a Navy unit out of Marine Corps Base 
Camp Pendleton, Calif, stormed the 
beach on a Landing Craft Air Cushion 
carrying heavy logistical equipment and 
tactical vehicles. The LCAC departed 
from the USS Makin Island (LHD 8), a 
Wasp-class amphibious assault ship that's 
carrying the Marines and sailors of the 
13th Marine Expeditionary Unit. 

Aside from capturing the attention 
of the Bay Area community who came 
out for the demonstration, the landing 
showed the ship-to-shore response capa- 
bilities the 13th MEU has when the Navy 
and Marine Corps employs an amphibi- 
ous expeditionary task force. 

Petty Officer 2nd Class Pendleton 
Johnson, an information technician with 
Beach Master Unit 1, a Navy unit sta- 
tioned in Naval Amphibious Base Coro- 
nado, Calif, said the landing gave the 
people of San Francisco the ability to see 
how emergency supplies can be brought 
in any case, such as a natural disaster. 

"[The hovercrafts] can carry up to two 
[battle] tanks on each hover craft," said 
the Glendora, Calif, native. "So they can 
carry a great amount of supplies whether 
it's in a combat scenario or a civilian sup- 
port scenario." 

During an actual crisis response sce- 
nario. Navy medical personnel would set 
up a shock and trauma tent and a forward 
resuscitative surgical system tent on shore 
to collect and treat casualties within an 
hour of landing. 


From page 3 

"We know that this area will experience a catastrophic event 
in the future. It's not a matter of if it's a matter of when," said 
Loeven. "This seminar presents a valuable opportunity for us 
to build key partnerships with one another, so in the event of a 
disaster, we are better prepared to respond." 

Nathan applauded the work being done to better understand 
the capabilities of one another and determine how we can best 
marry them up. 

"There will be no greater tragedy than having capabilities 
that we don't bring to bear in the time of disaster because we 
don't know how to communicate with one another or be- 
cause we don't understand one another's capabilities," said 
Nathan. "I thank you in advance for the work you are doing 
here to be better prepared when the next worst-case nightmare 

By Lance Cpl. Joseph Scaiilan 

Sailors serving with Beach JVIaster Unit 1 direct San Francisco's emergency re- 
sponders while they board a Landing Craft Air Cushion with Assault Craft Unit 1 
during a beach landing demonstration at Ocean Beach Oct. 3, 2012. Fleet Week is 
dedicated to showing civilians the United States military's capability of humanitar- 
ian assistance and disaster response preparedness on the home front. 

Sailors working inside the expedi- 
tionary medical center said their main 
mission is to save lives and limbs, said 
Hospital Corpsman 2nd Class Anthony 
Chow, serving with 1st Medical Battal- 
ion at the forward resuscitative surgical 
system tent on the beach. 

Lt. Cmdr. Brian Beale, the officer in 
charge of the advisory training group of 
1st Medical Battalion, said the important 
thing to know about the expeditionary 
medical aid center is that when employed, 
they're highly mobile, rapidly deployable 
and can be almost anywhere in just a mo- 
ment's notice. 

"If something were to happen, and the 
Navy and Marine Corps medicine team 
were called upon, we want the people of 

San Francisco to know what it is that we 
have to bring to the table to help out in 
the event that there's some type of require 
for disaster relief," said Beale, a native 
of Houston. "It doesn't only have to be 
Afghanistan where we practice this type 
of medicine and this type of help. We can 
bring it to the forefront of the shores here 
at home and can provide the maximal 
amount of assistance that this setup al- 
lows to do for the city of San Francisco." 
Sgt. Ron Reynolds, San Francisco Po- 
lice Department, said it's important that 
the Bay Area community know what the 
Navy and Marine team can do for a city 
who needs help when disaster strikes. 

scenario strikes." 

This year's Fleet Week also included a peer-to-peer medi- 
cal exchange Oct. 3. The medical exchange brought together 
the San Francisco Bay area's civilian medical community with 
the Navy, Marine Corps, Coast Guard, Cahfornia Air National 
Guard and California Army National Guard to simulate patient 
movement following a large-scale disaster. 

Lann Wilder, emergency management coordinator at San 
Francisco General Hospital, participated in the event and 
described the value of the hands-on opportunity to collaborate 
during the disaster response medical patient movement train- 
ing exercise. 

"This exercise was a game-changer," said Wilder. "We 
learned so much about the shock trauma care capabilities of 
the military during this exercise." 

October 2012.MEDNEWS • 5 

U.S. Surgoon Goneral helps Navy Med unveil health,wellness campaign 

By Hugh Cox, Navy and Marine Corps 
Public l-iealth Center Public Affairs 

NORFOLK, Va. - The U.S. Navy and 
Marine Corps Public Health Center 
launched its Health Promotion and Well- 
ness campaign in a ceremony aboard the 
USS Bataan (LHD-5), Oct. 2. 

The campaign provides platforms to 
reach and educate Sailors, Marines and 
beneficiaries on priority health areas, as 
well as resources, tools, and programs to 
do so. These prevention strategies aim to 
increase the fitness and readiness of the 
Navy and Marine Corps forces. 

U.S. Surgeon General, Vice Adm. Re- 
gina Benjamin, Deputy Assistant Secre- 
tary of Defense for Clinical and Program 
Policy and Chief Medical Officer of the 
TRICARE Management Activity Dr. 
Warren Lockette, and U.S. Navy Deputy 
Surgeon General, Rear. Adm. Michael 
Mittelman, all spoke at the launch in sup- 
port of the campaign and its importance. 

Benjamin encouraged personnel to 
"find their health care joy" whether run- 
ning a marathon, fitting into an old pair 
of jeans or playing with grandchildren. 

"Health does not occur in the doctor's 
office," said Benjamin. "It happens where 
we live and where we play." 

The campaign includes seven sub-cam- 
paigns or focus areas including healthy 
eating, active living, reproductive and 
sexual health, psychological and emo- 
tion well-being, tobacco free living, drug 
abuse and excessive 
alcohol use pre- 
vention as well as 
injury and violence 
free living. 

"We want Sailors 
and Marines to feel 
empowered and 
informed to make 
healthy choices 
to improve the 
overall readiness 
of our force and 
their families," said Mittelman. 

Within the Navy, the campaign 
complements the 21st Century Sailor and 
Marine Initiative, which provides a set of 

Photo by Mass Corinnunicatioii Specialist 2iui Class(SW) Erin Lea Boyce 

Rear Adm. Michael Mittelman, Deputy Surgeon General of the Navy, is introduced 
at the Health Promotion and Wellness Campaign held in the hangar bay aboard 
the multipurpose amphibious assault ship USS Bataan (LHD 5) to support the 
Navy and Marine Corps Public Health Center in the unveiling of seven strategic 
health promotions Oct. 2. 

objectives and policies across a spectrum 
of wellness that maximize each Sailor's 
and Marine's personal readiness in order 
to hone the most combat effective force 
in the history of the Department of the 

The campaign supports the DoD-wide 
Total Force Fitness, a framework for un- 
derstanding, assessing, and maintaining 
Service members' well-being and sustain- 
ing their ability to carry 
out missions. 

"Health prevention 
programs save money 
in the long term," said 
Lockette. "If appHed con- 
sistently [health promo- 
tion programs] will save 

"We want Sailors 
and Marines to feel 
empowered and 
informed to make 
healthy choices..." 

money for our Sailors 
-Rear Adm. Michael Mittelman ^nd Marines as well as 

MOM o "^f ?."*^- ^"'■^^°I] f "^'■^'' their families." 

U.S. Navy Bureau of Medicine and Surgery 

The campaign aligns 
with the National Pre- 
vention Strategy, published in June 2011, 
which presented a vision, goals, recom- 
mendations, and action items to reduce 
preventable death, disease, and disability 

in the U.S. 

To access and download campaign 
materials, visit the Healthy Living page 
on the Navy and Marine Corps Pub- 
lic Health Center website, http://www. 

Campaign materials include toolkits, 
brochures, and information for both pub- 
lic health professionals and beneficiaries. 

NMCPHC consults, develops, and 
shapes public health for the Navy and 
Marine Corps in a variety of areas, 
including environmental health, popula- 
tion health, and preventive medicine. 
NMCPHC's vision is protection through 
prevention, and the mission is to provide 
worldwide Force Health Protection ser- 
vices to Naval and Joint forces in support 
of the National Military Strategy. In sup- 
port of the NMCPHC mission, the Health 
Promotion and Wellness department 
provides innovative and evidence -based 
health promotion and wellness programs 
and services that facilitate readiness and 
resilience, prevent illness and injury, 
hasten recovery, and promote lifelong 
healthy behaviors and lifestyles. 


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6 -MEDNEWS -October 2012 

SECDEF releases voting guidance to fleet 

From Department of Defense Public Affairs 

WASHINGTON - Secretary of Defense Leon M. Panetta re- 
leased the following message Oct. 5. 

"On November 6th, Americans will have the opportunity to 
exercise the most important responsibility we have in a de- 
mocracy - the right to vote. Voters will choose from candidates 
at every level - from the Commander-in-Chief, to legislative 
representatives, to county commissioners, city council members 
and others. 

I don't have to tell you that your vote can determine the fu- 
ture. It really counts. And that's why it's so important to partici- 
pate in this process - no matter where you are in the world, no 
matter who you plan to vote for. Please exercise the very privi- 
lege that you're willing to fight and die for in order to protect. 

But there isn't much time. If you're overseas or away from 
home, request your absentee ballot immediately, and mail it 
back in time so that your vote will count. And if you need help, 
visit your Installation Voter Assistance Office, or see your unit's 
voting assistance officer, or visit the website: . 

Every day, your effijrts make this country safer and its people 
more secure. You have more than earned the right to vote. So 
please participate in the democratic process that sustains the 
blessings of liberty that we work so hard to protect. 

This Election Day I encourage you and your family to play 

Photo by Mass Communication Specialist Seaman Declan Barnes 

Sailors assigned to the Arleigh Burl<e-class guided-missile 
destroyer USS JVIcCampbell (DDG 85) watch the first 2012 
presidential debate between President Barack Obama and for- 
mer iviassachusetts Gov. iviitt Romney, Oct. 4. 

an important part in our great democracy. Your vote will help 
determine the future of our nation, and the future of a govern- 
ment of by, and for all people. 
Thank you." 

Navy Med Admiral receives second star, heads new department 

By Shioshiona Pilip-Florea, U.S. Navy 
Bureau of IVIedicine and Surgery 
Public Affairs 

WASHINGTON - Rear Adm. Bruce 
A. Doll was promoted to rear admiral 
(upper half) during a ceremony at the 
Jefferson Memorial in Washington, D.C., 
Oct. 12. 

Doll's promotion comes in conjunction 
with his appointment as head of the new 
research and development code within 
the U.S. Navy Bureau of Medicine and 
Surgery earlier this month. 

Vice Adm. Matthew L. Nathan, U.S. 
Navy surgeon general and chief, BUMED, 
presided over the ceremony where he 
lauded Doll's vast range of job experi- 
ences and the unique perspective he will 
bring to this position. 

"Bruce is the type of leader we need 
more of in Navy Medicine," said Nathan. 
"He has served in every dynamic. He has 
served on ships. He has served overseas. 
And to each of these positions he brought 
his exceptional expertise in topics rang- 
ing from periodontics to regenerative 
medicine to molecular biology. I know 
what he will bring to his new role will be 
equally outstanding. I could not be more 
proud to promote him today and to have 

him as part of the Navy Medicine family." 

During the ceremony, Doll thanked his 
family for the exceptional support they 
have provided throughout his career and 
said he is looking forward to the chal- 
lenge of establishing a new code within 

"It's exciting to get to steer the ship first 
and chart the course," said Doll. "There 
are many challenges though, the first be- 
ing the budgetary restraints in the current 
environment we operate in today." 

The new code was developed as part of 
a larger realignment designed to improve 
the organization's responsiveness and 
effectiveness in keeping with Nathan's 
priorities of readiness, value and jointness 
for the Navy Medicine enterprise. 

"Navy Medicine's mission is to support 
the forward-deployed force and ensure 
personnel readiness. Navy Medicine 
keeps the nation's naval forces medically 
ready to operate around the world and a 
large part of that comes from our tremen- 
dous research and development efforts 
like creating new vaccines or new avia- 
tion survival equipment," said Nathan. 
"By having stronger oversight of the R&D 
community and flag-level advocacy, we 
know we can bring more value to this 
process and also explore ways to work 

with our sister Services on joint research 
to reduce redundancies." 

Doll echoed Nathan's statements 
and said that getting to work across the 
Services in the research and development 
community presents a unique challenge, 
but will potentially be the most rewarding 
opportunities he will encounter. 

"We will get to leverage the expertise 
and skill sets of each medical community 
and really ensure we are investing in the 
right projects to meet the needs of our 
warfighters and beneficiaries," said Doll. 

Prior to reporting to BUMED, Doll 
served as the Senior Health Care Execu- 
tive, U.S. Navy Medical advisor. Allied 
Command Transformation (NATO). As 
a Navy Reservist, he has also held many 
influential and important roles in the ci- 
vilian sector of medicine including as the 
chief operating officer, Rutgers Universi- 
ty/Cleveland Clinic research consortium 
focusing on regenerative medicine for the 
wounded warrior. 

Doll is a member of many professional 
societies and a diplomat of the Ameri- 
can Board of Periodontology. He is also 
a grantee of the National Institutes of 
Health. He has received fellowships from 
Omicron Kappa Upsilon, the Internation- 
al and American College of Dentists. 

October 2012 -MEDNEWS • 7 

NMCSD expands C5 prosthetics lab 

By Mass Communication Specialist 2nd Class John Philip 
Wagner, Jr., Naval Medical Center San Diego Public Affairs 

SAN DIEGO - Naval Medical Center San Diego's (NMCSD) 
Comprehensive Combat and Complex Casualty Care (C5) facil- 
ity is expanding its prosthetics lab by filling the therapy pool to 
make room for two additional treatment rooms, a check in area, 
storage space and a second set of parallel bars. 

"This first phase of the project took three weeks to complete, 
which included the filHng of the existing pool with gravel, 
smoothing it out and capping with concrete," said Lt. Cmdr. 
Alberto Nieto, NMCSD Facilities Department Head. 

Furniture for the two treatment rooms, a patient check-in 
desk, a storage area and the installation of a new set of parallel 
bars is currently ongoing. The second phase will renovate the 
existing prosthetics fabrication room, which will increase capa- 
bility and capacity. 

"The expansion is great because it will allow us to add new 
staff, and the installation of a second set of parallel bars will al- 
low us to get two wounded warriors up on their legs at the same 
time, which will relieve some of the congestion in that area," 
said Lt. Cmdr. Wendy Stone, C5 program's deputy director. 

The C5 patients have unique health care needs, she added. 

Photo by Mass Communication Specialist 2nd Class Sean P. Lenahan 

The new expansion of the prosthetics lab at Naval Medical 
Center San Diego's Comprehensive Combat and Complex 
Casualty Care facility. 

"[They're] high-performance athletes, so they don't just 
require walking limbs and a backup, which are the basics that 
we give them; they also want a running leg, a surfing leg and 

See Prosthetics, Page 9 

Navy flight surgeon awarded for work in aerospace medicine 

By Lt. Sarah Goodman, Navy Environ- 
mental Preventive Medicine Unit Two 
Public Affairs. 

NORFOLK, Va. - Lt. Cmdr. Eric De- 
ussing. Navy Environmental Preventive 
Medicine Unit Two (NEPMU2) Preven- 
tive Medicine Officer and Navy Flight 
Surgeon is the 2012 recipient of the 
Ashton Graybiel Award for his research 
in Aerospace Medicine. 

The award, given annually since 1991 
to recognize outstanding contributions 
in medical literature in honor of Captain 
Ashton Graybiel, Medical Corps, USN, 
was presented to Deussing by Capt. Wes- 
ley Farr, Navy and Marine Corps Public 
Health Center (NMPCHC) Executive 
Officer in a ceremony held Sept. 21 at 

"The research was part of my Mas- 
ter's in Public Health thesis," said 
Deussing."We had some positive out- 
comes, and I am honored to receive this 

Recipients of this prestigious award 
have conducted or have been involved 
in an original research project and their 
papers published within the past year. 

"LCDR Deussing's tour as a Flight 
Surgeon and his research demonstrate his 
commitment to the safety and readiness 
of our Navy and Marine Corps aviators," 
said Farr. "He is continuing his com- 

8 -MEDNEWS -October 2012 

Photo bv Lt. Sarah Goodman 

Lt. Cmdr. Eric Deussing, Navy Environmental Preventive Medicine Unit Two, re- 
ceives the 2012 Ashton Graybiel Award for his research in Aerospace Medicine from 
Capt. Wesley Farr, Executive Officer, Navy and Marine Corps Public Health Center, 
Sept. 21. 

mitment to the safety and readiness of 
our Sailors and Marines as a Preventive 
Medicine Officer with NEPMU2." 

Dr. Graybiel pioneered aviation medi- 
cine research and this award recognizes 
outstanding contributions to the medical 
literature by members of the Society of 
U.S. Naval Flight Surgeons in support of 

operational issues in Aerospace Medicine 
that have made a significant contribution 
with the promise of long-term impact on 
the health and safety of aviation. 

Deussing's article can be found on the 
National Center for Biotechnology Infor- 
mation website at http://www.ncbi.nlm. . 

NMLC celebrates Navy's 237th birthday 

By Julius L. Evans, Naval Medical 
Logistics Command Public Affairs 

FORT DETRICK, Md. - Naval Medical 
Logistics Command's senior officer and 
junior Sailor ceremoniously cut the first 
slice of cake Oct 12., during the 237th 
Navy birthday celebration at its head- 
quarters on Fort Detrick, Md. 

Commanding Officer, Capt. James 
B. Poindexter III, and Hospital Corps- 
man Apprentice Denise L. Matamoro 
preserved a Navy tradition meant to 
illustrate that despite differences in rank, 
all military men and women are part of 
the same team. 

The NMLC team celebrated this rich 
naval history that is recognized annually 
at Navy commands worldwide. 

The United States Navy traces its ori- 
gins to the Continental Navy, which the 
Continental Congress established Oct. 
13, 1775, by authorizing the procure- 
ment, outfitting, manning and dispatch- 
ing of two armed vessels to cruise in 
search of munitions ships supplying the 
British army in America. The legisla- 
tion also established a Naval Committee 
to supervise the work. All together, the 
Continental Navy numbered some 50 
ships over the course of the war, with 
approximately 20 warships active at its 
maximum strength. In 1972, then-Chief 
of Naval Operations (CNO) Adm. Elmo 
R. Zumwalt authorized recognition 
Oct. 13 as the Navy's birthday, accord- 
ing to the Naval History and Heritage 

NMLC followed a program as out- 
lined by NAVADMIN 299/12. Of note 

Photo by Julius Evans 

Navy Medicine Logistics Command, Commanding Officer, Capt. James B. Poindex- 
ter III and Hospital Corpsman Apprentice Denise L Matamoro ceremoniously cut 
the first slice of cake, Oct 12., during the 237th Navy birthday celebration at Naval 
Medical Logistics Command, Fort Detrick, Md. The Navy tradition illustrates that 
despite differences in rank, all military men and women are part of the same team. 

was the span of pay grades incorporated 
into the ceremony. Lt. Cmdr. Gerald M. 
Hall, NMLC's director for Resources read 
the Secretary of the Navy's birthday mes- 
sage followed by Operations Specialist 
2nd Class (SW) Jacob Halfen who 
read the Chief of Naval Operation's mes- 
sage. Cmdr. Michael J. Kemper, director 
for Medical Equipment and Logistics 
Support ceremoniously rang the ship's 
bell eight times signifying the 'end of 
the watch.' 

Chief Hospital Corpsman Ezra L. 

Johnson, the event's master of ceremony, 
explained the traditions associated with 
different elements throughout the cer- 

"The single, [ceremonial ninth] bell, 
traditionally used to signal the start of a 
new watch, represents the start of a new 
year, our 238th," said Johnson. The ninth 
bell was rung by Logistics Specialist 2nd 
Class (SW) Michael S. Kick. 

The cake-cutting ceremony culminated 
the day's events. 

PAX River Aviation Survival Training Center installs lifesaving system 

From Navy Medicine Operational Training Center Public Affairs 

PATUXENT RIVER, Md. - One of the U.S. Navy's eight train- 
ing centers dedicated to aircrew water survival finalized the $1.1 
million installation of equipment Oct. 12, which will serve to 
expand the center's life-saving training capabilities and directly 
support Navy aircrew readiness. 

Aviation Survival Training Center (ASTC) Patuxent River, 
Md., completed installation of a Jib Crane, which submerges 
and rotates the Modular Egress Trainer Simulators (METS M40) 
multi-seat underwater egress trainer capsule in a swimming 

The METS M40 is used to train fixed- or rotary- wing pilots 
and crew in aircraft ditching and underwater egress training 
procedures. Cmdr. Mathew Hebert, Naval Aviation Survival 
Training Program manager, said the new equipment adds value 
to Navy Medicine and will have positive lifesaving and readiness 
benefits to joint U.S. military warfighters serving aboard aircraft 

throughout the world. 

"The mission of the ASTC's and their importance to the fleet 
are to prepare aeronautical personnel, selected passengers, proj- 
ect specialists and other authorized individuals who fly aboard 
USN or U.S. Marine Corps aircraft in the areomedical aspects of 
flight and survival," he said. "This crane will make the high-risk 
training delivered to these warfighters safer, more relevant and 
more cost efficient, and will help ensure their continued readi- 

All eight Navy Medicine-managed ASTCs employ the METS 
M40, purchased through Survival Systems Incorporated over a 
10-year period. The METS M40 is designed to replicate large, 
wide-bodied fixed- or rotary-wing aircraft. 

Hebert said the new Jib Crane is safer, easier to operate and 

See Lifesaving, Page 11 

October 2012-MEDNEWS • 9 

Navy Medicine Researcli 

Kssearch suggests link between blast exposures PTSD 

From Naval Health Research Center 
Public Affairs 

SILVER SPRING, Md. - Researchers 
from the Naval Medical Research Cen- 
ter (NMRC), the Mount Sinai School of 
Medicine, and a Veterans Affairs Medi- 
cal Center published a paper in the Oct. 
10, 2012, issue of the Journal of Neuro- 
trauma focused on possible warfighter 
post-traumatic stress disorder (PTSD)- 
related traits induced by multiple blast 

Researchers from the James J Peters 
Veterans Affairs Medical Center in the 
Bronx, N.Y., working with collabora- 
tors from NMRC in Silver Spring, Md., 
showed, in a laboratory model that 
repeated blast exposure induced a variety 
of PTSD-related traits many months after 
the blast exposure. These traits include 
anxiety, increased startle responses and 
heightened fear responses. 

"The study is the first to suggest that 
blast exposure may change the brains 
reactions to stress in ways that increase 
the likelihood of developing PTSD," said 
Dr. Gregory Elder, a neurologist at the VA 
hospital, and the lead author of the paper. 

The paper points out that mild trau- 
matic brain injury (TBI) from blast 
exposure has been a major cause of injury 
in Iraq and Afghanistan. A feature of TBI 
cases has been the prominent associa- 
tion with post-traumatic stress disorder. 
Because of the overlapping symptoms, 
distinction between the two has been 

"The research results showed height- 
ened fear reactions were associated with 
an increase in a specific protein, stathmin 
1, known to affect fear responses in the 


From page 8 

Courtesy photo 

Members of the Kandahar Provincial Reconstruction Team treat simulated 
causalities during a base defense drill. The team is made up of U.S. Air Force, 
Army and Navy service members and civilians deployed to Kandahar province of 
Afghanistan to assist in the effort to rebuild and stabilize the local government 
and infrastructure. 

amygdala, an area of the brain associ- 
ated with regulating fear responses and 
thought to be involved in the develop- 
ment of PTSD," said Dr. Stephen Ahlers, 
lead on the Navy collaborative team from 
NMRC's Department of Neurotruama. 
Ahlers presented the results of the study 
at the Military Health System Research 
Symposium in Ft. Lauderdale, Fla., Au- 
gust 15, 2012. 

The NMRC Neurotrauma Depart- 
ment conducts research on a variety of 
topics pertinent to the protection, care 
and resuscitation of combat casualties. 

primarily those occurring in austere 
circumstances with anticipated delay to 
definitive care. The department maintains 
three major programs: the Blast Injury 
Program, the Operational Medicine Pro- 
gram, and the Polytrauma Program. 

Article: Blast Exposure Induces Post- 
Traumatic Stress Disorder-Related Traits 
in a Rat Model of Mild Traumatic Brain 
Injury, by Gregory A. Elder, Nathan P. 
Dorr, Rita De Gasperi, Miguel A. Gama 
Sosa, Michael C. Shaughness, Eric Maud- 
lin-Jeronimo, Aaron A. Hall, Richard M. 
McCarron, and Stephen T Ahlers. 

a swimming leg," said Stone. " [They're very] active so we want 
to be able to fulfill that requirement. The expansion will allow 
C5 staff members to continue to give patients the best possible 


C5 was established in 2007. At the time, the prosthetics 
department was designed to support the care of 40 patients with 
single amputations. Currently, the facility treats approximately 
100 active duty service members and 50 retirees, many with 
multiple amputations. In fiscal year 2011 C5 fitted patients with 
418 devices to include feet, ankles, legs, hands and arms. In 
the first three quarters of 2012 C5 has fitted patients with 470 

NMCSD works closely with the Veterans Affairs (VA) San 
Diego Health Care System and has VA liaison on site full time 
to assist wounded, ill and injured with their medical benefits. 

transition to retirement, vocational rehabilitation among other 
such services to ensure patients transition smoothly. 

"Our prosthetics staff, and local commercial contracted part- 
ners, are fully trained on all of the latest prosthetics equipment 
and technology and have been working with Veterans from Iraq 
and Afghanistan for the past seven years," said Richard Rodri- 
guez, Site Manager, Prosthetic and Sensory Aid Service at the 
Veterans Affairs (VA) San Diego Health Care System. "In addi- 
tion, we work closely with Naval Medical Center San Diego to 
assure that we provide a smooth transition for service members 
transferring to VA care," said Rodriguez. 

"We continue to look for opportunities to expand our VA 
services to meet the needs of the returning Veterans as well as 
Veterans from previous eras. To meet those needs, our projected 
Prosthetics 2013 budget for the Southern California and South- 
ern Nevada region is $106,800,000," he added. 

October 2012-MEDNEWS • 10 

Voices from the Field 

Navy Medicine's scientific research benefits Cambodia 

By Ambassador William (Bill) E. Todd, 
U.S. Ambassador to the Kingdom of 

One of the best things about being an 
Ambassador at an active embassy - hke 
we have in Phnom Penh - is that we are 
always implementing many projects that 
benefit Cambodia. Fortunately, I get the 
opportunity to showcase some of the 
most exciting projects with you in my 

Recently, I had the opportunity to 
catch up with my colleagues at the U.S. 
Navy Medicine's Naval Medical Research 
Unit-2 (NAMRU-2). The NAMRU-2 staff 
focuses on conducting medical research 
that can help keep the Cambodian people 
safe from diseases. 

Just recently they began enrolHng new 
participants in a study that will help iden- 
tify the reasons for serious respiratory 
and diarrheal diseases in areas surround- 
ing cities and in rural parts of Cambodia. 
Once we better understand the cause 
of such diseases, we can develop better 
methods of prevention and treatment. 
Perhaps you know someone who suffers 
from one of these diseases? If so, you 
can appreciate what a difference it would 
make in their life if we could learn how to 
prevent or cure these diseases better. 

The enrollment process for the new 
study involves going door-to-door in 
the villages in the study areas. The field 
volunteers explain to the residents of each 
house how the study will work and ask 
the villagers if they are interested in par- 
ticipating. Given that NAMRU-2 hopes 
to have four villages and a total of 5,000 
people participating in the study, the 
enrollment process takes a lot of person- 
to-person contact, but it is important that 

Photo courtesy of the Department of State 

Project supervisor Malen Luy, NAMRU-2, reviewing how to take GPS coordinates 
with the staff. 

the participants understand the study and 
are comfortable with taking part in it. 

NAMRU-2 sent me photos of the 
volunteers' first day out in the field. It's 
great to see our Embassy team working to 
reduce diseases in Cambodia, while at the 
same time helping to strengthen Cambo- 
dia's growing public health research field. 

If you'd like to learn more about 
NAMRU-2, check out a description of 
their work on the U.S. Embassy website at 
html . 

Editors Notes: Naval Medical Research 
Unit-2 (NAMRU-2) NAMRU-2's mission 
is to identify infectious disease threats of 
military and public health importance 
and develop and evaluate interventions 

and products to mitigate those threats. 
NAMRU-2 supports U.S. interests in the 
Pacific Theater and advances diplomacy 
in the region by conducting infectious 
disease research and improving disease 
surveillance and outbreak response as- 
sistance for infectious diseases of critical 
public health importance to the United 
States and our regional partners. NAM- 
RU-2 relocated from Jakarta, Indonesia 
in June, 2010 and officially opened as 
NAMRU-2 Pacific on June 17, 2010. 
Current operations are ongoing at the 
detachment laboratory located in Phnom 
Penh, Cambodia, and the detachment 
within the U.S. Embassy Singapore. 


From page 9 

more reliable. The new crane is capable of moving the METS 
along multiple axies, simulating a variety of previously unavail- 
able emergency situations and possibilities to students. 

According to Hebert, the new crane also represents an 
enormous stride in providing exceptional value and helping 
lead Navy Medicine to jointness and interoperability, something 
which should be echoed throughout the fleet. 

"The total number of Navy and joint personnel trained by all 
eight ASTC across the Naval Survival Training Institute (NSTI) 
enterprise averages 23,000 students over the past five years," he 
said. "The cost-benefit savings - and lives saved in actual fleet 
mishaps - associated with upgrading these cranes is phenom- 

Of the eight ASTCs in the continental United States, the Jib 
Crane install at Patuxent River, Md., marks the seventh crane 
to become operational. The final ASTC Jib Crane installation is 
scheduled at the Naval Air Station Pensacola ASTC in Novem- 

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